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General NPI Number Information
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NPI Number | 1316454242
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Entity Type | Organization
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Legal Business Name | DILBECK COUNSELING& EDUCATION LLC
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Dates
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Enumeration Date | 12/31/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 2929 WATSON BLVD # 314
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City | WARNER ROBINS
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State | GA
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Zip | 31093-8535
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Country | US
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Telephone | 478-202-2620
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Fax | 478-246-0366
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Provider Business Mailing Address
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Address Line | 1486 PERRY HWY
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City | HAWKINSVILLE
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State | GA
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Zip | 31036-6736
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Country | US
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Telephone | 478-202-2620
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Fax | 478-246-0366
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Authorized Official
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Title or Position | OWNER
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Name | MINNIE ELAINE DILBECK
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Credential | LPC
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Telephone | 478-202-2620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC007724
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License Number State | GA
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